In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Integrating Health Care and Social Services: Moving from Concept to Practice
Margaret Trinity, Mary Beth Dyer, and Michael Bailit, Bailit Health
Social factors, including economic stability, housing, education, relationships, neighborhood, and other environmental influences, can have a significant impact on individuals’ health status. In order to make improvements to the health of both individuals and their communities, an integrated approach is critical. Policymakers need to bridge the gap between social services and health care delivery in their efforts to make these improvements, and several states have begun to develop innovative approaches toward this integration, which might provide valuable lessons for others. This issue brief, developed by Bailit Health, describes six potential integration strategies that state agencies might employ to better integrate social services and health care delivery. For each, the issue brief contains examples from several states that have utilized these strategies in their own efforts to increase integration.